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Mr. Shawn R Agenbroad-elander, FNP-C
Family Nurse Practitioner in Austin, Texas
NPI 1164655171

Shawn R Agenbroad-elander is a Family Nurse Practitioner based in Austin, TX and is specialized in Family. Shawn R Agenbroad-elander practices in Austin, TX and has the professional credentials of FNP-C. The NPI Number for Shawn R Agenbroad-elander is 1164655171 and holds a License No. AP118041 (Texas).

The current practice location address for Shawn R Agenbroad-elander is 4303 Victory Dr, Austin, TX and can be reached out via phone at 512-462-3627 and via fax at 512-462-2898.

Location: 4303 Victory Dr, Austin, TX, 78704-7507
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Provider Profile Details
NPI Number
1164655171
Provider Name
Shawn R Agenbroad-elander
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
4303 Victory Dr, Austin, TX, 78704-7507
Phone Number
512-462-3627
Fax Number
512-462-2898
Provider Enumeration Date
08/25/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP118041 01 TX LICENSE
institution
Provider Business Practice Location Address Details
Address
4303 Victory Dr
City
State
Zip
78704-7507
Phone Number
512-462-3627
Fax Number
512-462-2898
person
Provider Business Mailing Address Details
Address
4303 Victory Dr
City
State
Zip
78704-7507
Phone Number
512-462-3627
Fax Number
512-462-2898
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP118041 (Texas)
Definition
Definition to come...
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